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1356355259
JACKSON STREET FAMILY PRACTICE CENTER, LTD
MARION, IL
NPI
1356355259
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Entity Type
Organization
Authorized Contact
KAREN STRACK
Officer
618-998-7000
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036059507)
Enumeration Date
2006-07-28
Last Update Date
2020-08-22
Business Address
JACKSON STREET FAMILY PRACTICE CENTER, LTD
3331 W DEYOUNG ST SUITE 207
MARION, IL 62959-5896
Phone number: 618-998-7000
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Mailing Address
JACKSON STREET FAMILY PRACTICE CENTER, LTD
PO BOX 446
MURPHYSBORO, IL 62966-0446
Phone number: 618-924-5149
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